| NPI | 1992731921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP136560) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP30005548) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-07-18 |